论文部分内容阅读
目的对比分析腹腔镜全子宫切除术(TLH)与经腹全子宫切除术(TAH)及阴式全宫切除术(TVH)的临床治疗效果。方法随机将120例行全子宫切除术的良性子宫病变患者均分为A、B、C三组,其中A组采用腹腔镜全子宫切除术(TLH),B组采用经腹全子宫切除术(TAH),C组采用阴式全子宫切除术(TVH)。对比分析三组患者手术时间、术中出血量以及术后情况。结果三组患者在出血量上比较差异无统计学意义(P>0.05);A组与C组在术后肛门排气时间、镇痛率、住院时间上皆明显低于B组(P<0.05);B组与C组在手术时间上要明显比A组更短(P<0.05)。结论腹腔镜全子宫切除术与经腹全子宫切除术及阴式全宫切除术属于临床子宫良性病变常见治疗术式,各有优缺,临床治疗时要根据具体情况选择合适的方式,方可提高临床治疗效果。
Objective To compare the clinical effects of laparoscopic total hysterectomy (TLH) with transabdominal hysterectomy (TAH) and vaginal hysterectomy (TVH). Methods A total of 120 patients with benign uterine lesions undergoing hysterectomy were randomly divided into three groups: group A received laparoscopic total hysterectomy (TLH), group B received transabdominal total hysterectomy (group B) TAH), group C using vaginal hysterectomy (TVH). The operation time, intraoperative blood loss and postoperative condition of three groups were compared and analyzed. Results There was no significant difference in bleeding volume between the three groups (P> 0.05). The anal exhaust time, analgesic rate and hospital stay in group A and group C were significantly lower than those in group B (P <0.05 ). The time of operation in group B and group C was significantly shorter than that in group A (P <0.05). Conclusions Laparoscopic hysterectomy and abdominal total hysterectomy and vaginal hysterectomy belong to the common treatment of clinical uterine benign lesions, each have advantages and disadvantages, clinical treatment should be based on the specific circumstances to choose the right way before Improve clinical treatment effect.